Individual
DR. WILLIAM JOHN PATSAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
261 KISSEL AVE, STATEN ISLAND, NY 10310-1623
(917) 945-6104
Mailing address
261 KISSEL AVE, STATEN ISLAND, NY 10310-1623
(917) 945-6104
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
045464
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045464
—
NY
Enumeration date
02/24/2014
Last updated
02/24/2014
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